지지간호가 미숙아 어머니의 산후 우울에 미치는 효과 = The Effects of Supportive Nursing Management on Postpartum Depression of Mothers with Premature Infants

다국어 초록 (Multilingual Abstract)

Purpose: This quasi-experimental study was conducted to investigate the effects of supportive nursing management on postpartum depression in the mothers with premature infants. Methods: The subjects were 21 mothers who delivered premature babies in a university hospital. The experimental group of 10 mothers was provided with supportive nursing management program by nurses in neonatal ICU and the control group of 11 mothers was provided with usual management only. The designed programs were given 4 times to the experimental group while their babies were hospitalized, and telephone consultation was provided 3 times after discharge. The stress, anxiety, identity, support from their husbands & family members, and postpartum depression were measured 3 times using Edinburgh Postnatal Depression Scale (the 4th day of premature's hospitalization, the day of discharge and the day of 4 weeks after discharge). Results: There was no significant difference in general characteristics and the influential factors of postpartum depression between the two groups, so they were homogeneous. There was no significant difference in depression (F=0.01, p=.917). However there was significant difference over time (F=6.74, p=.003) and the interaction between measurement time and treatment (F=3.59, p=.037). Conclusion: The supportive nursing management on postpartum depression of mothers with premature infants is considered effective and useful in reducing postpartum depression. Further research is warranted to investigate paternal depression and the program's long-term effects.

참고문헌 (Reference)

1 김중임, "한국판 에딘버러 산후우울측정도구의 타당성 연구" 여성건강간호학회 12 (12): 204-209, 2006

2 안영미, "통합적 NICU입원교육이 고위험신생아 어머니의 모아애착, 모성자존감, 산후우울에 미치는 영향" 아동간호학회 10 (10): 340-349, 2004

3 신화진, "캉가루식 돌보기가 미숙아의 성장 및 모아애착과 산후우울에 미치는 효과" 을지대학교 2007

4 고효정, "취업유무에 따른 초산모의 역할긴장과 어머니로서의 정체감 형성 및 관계" 이화여자대학교 1995

5 여정희, "출산 후 6개월 여성의 산후우울 정도와 예측요인" 여성건강간호학회 12 (12): 355-362, 2006

6 김혜원, "초임부의 모성 정체성에 관한 모형 구축" 서울대학교 1996

7 이숙자, "지지적 간호행위가 혈액투석 환자의 대처방식에 따라 우울과 삶의 질에 미치는 영향" 연세대학교 1993

8 김명자, "지지간호가 만성질환자의 삶의 질과 자존감에 미치는 효과" 21 (21): 323-338, 1991

9 김정아, "지지간호가 군 요통환자의 우울, 기분, 만족에 미치는 영향" 연세대학교 1990

10 안영미, "일반아모와 추후관리를 받은 저출생체중아모의 모성자존감, 산후우울, 가족기능의 비교" 한국간호과학회 33 (33): 580-590, 2003

11 김명자, "인지적 간호중재" 22 (22): 337-351, 1992

12 성미혜, "신생아 집중실에 입원한 고위험 신생아 어머니의 스트레스 정도 및 내용에 관한 연구" 아동간호학회 8 (8): 97-109, 2002

13 박영주, "산후우울 예측요인" 한국간호과학회 34 (34): 722-728, 2004

14 배정이, "산후 우울의 이론적 모형 구축에 관한 연구" 이화여자대학교 1996

15 이혜경, "산욕기 초산모의 모성역할획득 모형구축" 서울대학교 1992

16 김증임, "산욕기 산모의 임신시 정서상태, 분만준비도, 산후 사회적 지지도 및 산후 우울감과의 관계연구" 여성건강간호학회 11 (11): 38-45, 2005

17 오현이, "산욕기 산모의 모성 정체성, 어머니역할수행자신감과 산후우울과의 관계" 한국모자보건학회 5 (5): 255-266, 2001

18 Docherty, S. L., "Worry about child health in mothers of hospitalized medically fragile infants" 2 (2): 84-92, 2002

19 Miles, M. S., "The nurse parent support tool" 14 (14): 44-50, 1999

20 Zabielski, M. T., "Recognition of maternal identity in preterm and fullterm mothers" 22 (22): 2-36, 1994

21 Meyer, E. C., "Psychological distress in mothers of preterm infants" 16 (16): 412-417, 1995

22 Beck, C. T., "Predictors of postpartum depression: An update" 50 (50): 275-285, 2001

23 Holditch-Davis, D., "Posttraumatic stress symptoms in mothers of premature infants" 32 (32): 161-171, 2003

24 Miles, M. S., "Perceptions of stress, worry, and support in black and white mothers of hospitalized, medically fragile infants" 17 (17): 82-88, 2002

25 Peebles-Kleiger, M. J., "Pediatric and neonatal intensive care hospitalization as traumatic stressor: Implications for intervention" 64 (64): 257-280, 2000

26 Knafl, K., "Parents' views of health care providers: An exploration of the components of a positive working relationship" 21 (21): 90-95, 1992

27 Kristensson-Hallstroem, I., "Parents' experience of hospitalization: Different strategies for feeling secure" 23 (23): 361-370, 1997

28 Holditch-Davis, D., "Mothers' stories about their experiences in the neonatal intensive care unit" 19 (19): 13-24, 2000

29 Preyde, M., "Effectiveness of a parent "buddy" program for mothers of very preterm infants in a neonatal intensive care unit" 168 (168): 969-973, 2003

30 Miles, M. S., "Depressive symptoms in mothers of prematurely born infants" 28 (28): 36-44, 2007

31 Hupcey, J. E., "Can a professional relationship be considered social support?" 45 (45): 270-276, 1997

32 Miles, M. S., "African american mothers' responses to hospitalization of an infant with serious health problems" 18 (18): 17-26, 1999